Arthouse Spring/Summer Registration Form

All art supplies are included in the tuition fees unless otherwise noted.

Student Name______________________________________ age__________

Spring/Summer Class Enrolled________________________ dates________
Parent/Guardian___________________________________________________
Address_________________________________________________________
City / State /
Zip_____________________________________________________
Home phone______________________Work/Cell_____________________
Email____________________________________________________________
Emergency Contact Name____________________phone________________
Does this emergency contact have permission to pick up student?
_____yes _____no
Often we will take photographs of classroom students working with teachers or
use student work for advertising and marketing purposes. We use these images
without compensation to students or their families. Arthouse has permission to
use photographic images of my child or their artwork for advertising or marketing
purposes
__________yes

_______no

I have read and understand the Arthouse Enrollment Information/Policy and

Classroom Policy. I give the Arthouse staff permission to see that my child
receives medical treatment in an emergency.
Parent Signature________________________________Date______________